One thing we've been hearing a strong reaction to within the low-carb community is Kimmer's statement that Kimkins is safe for all diabetics. This is untrue and we will take the time now to illustrate why.
Though there are quite likely other reasons as well, we will focus on the issue of "ketosis and ketoacidosis" in this article.
First, let us begin by discussing the term "ketosis". Kimmer often refers to ketosis as a metabolic state in which the body burns fat for fuel. This is partially incorrect. Ketosis is an affect (or a stage of metabolism) of the metabolic state called lipolysis, wherein the body burns fat for fuel, both stored and ingested. We will therefore use the term lipolysis to identify the metabolic state and the term ketosis to describe the affects of lipolysis.
Ketosis occurs when there is an accumulation of excessive keto acids in the blood. Ketones are a by-product of the lipid metabolic pathway (lipolysis) after the fat is converted to energy. This is highly advantageous in the pursuit of weight loss and often presents when there is a lack of carbohydrates in the diet.
As the body breaks down fatty acids into acetyl groups, one of the byproducts is acetone. This is excreted in the breath and urine and accounts for the "ketosis breath" that many low-carb dieters experience.
The body's stores of glycogen, which are created from ingested carbohydrates, is greatly depleted during a low-carbohydrate diet, which forces the body to metabolize fat via the process of lipolysis (wherein the fat is broken into fatty acid chains plus glycerol molecules). For more information on this process, research "gluconeogenesis".
Diabetic Ketoacidosis (DKA) is a related, but different process. DKA typically presents when a diabetic has extremely high serum glucose levels / hyperglycemia and insulin deficiency. It has been said that as long as there is no carbohydrate consumption, DKA will be avoided. This is not necessarily true in all cases, as a starvation level diet (which we define as 800 calories or less) over a prolonged period (which we define as longer than 3-5 days) can induce an reaction where the liver will produce an excessive amount of ketone bodies. Excessive ketones can result in a blood pH drop and lead to ketoacidosis in diabetics.
Although a state of lipolysis with ketosis is preferred for weight loss and can be quite beneficial to diabetics, medical supervision of this process is vitally important for diabetics.
An unknown, unproven online diet guru cannot monitor the processes that occur in this state of metabolism and ensure it's safety for any diabetic, let alone all diabetics.
Our finding - the claim that "Kimkins is safe for ALL diabetics" to be untrue, misleading and could eventually prove fatal.